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  • info@pacingforthecure.org

Mobility And Services Application

Part of our mission is to provide mobility assistance and medical services for individuals living with autoimmune and neuromuscular diseases (in particular for Multiple Sclerosis, ALS (Lou Gehrig’s Disease), Cerebral Palsy, Rheumatoid Arthritis and Parkinson’s Disease). If you or someone you love is in need of assistance, please fill out the application below.
Pacing for The Cure Inc. offers no guarantee that your request will be granted. The Equipment is being offered “as is” and with no express or implied warranties of fitness for use. The services are being provided by third parties, not Pacing for The Cure, and thus the Applicant hereby releases and forever discharges Pacing for The Cure, Inc. its members, officers, directors, and employees from and against any claims arising from or related to the services. The following item(s) must be included with your application: (a) Letter(s) from a medical professional specifying the need for the requested Equipment or service(s) for the Applicant. In consideration of the receipt of any medical equipment and/or services provided and /or awarded as a result of this application, Applicant hereby releases and forever discharges Pacing For The Cure, Inc., its members, officers, directors, and employees from and against any and all claims arising from or related to: (a) any alleged malfunction of or defect in the Equipment provided; (b) any allegation that the Equipment was not appropriate or suitable for the Applicant; (c) any other matter, of any type related, in any way, to the Applicant’s receipt or use of the Services or Equipment.